# PORTNER ORTHOPEDIC REHABILITATION INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316087315
- **Authorized official:** RENE NOELLE MANSANAS (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (808) 379-1515

## Contact information

- **Practice address:** 45-1144 KAMEHAMEHA HWY STE 200, KANEOHE, HI 96744-3226
- **Practice address phone:** (808) 247-9408
- **Mailing address:** 46-001 KAMEHAMEHA HWY STE 109, KANEOHE, HI 96744-3724
- **Mailing address phone:** (808) 247-7596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD-4132 | HI | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 09/06/2024